DIANNE LONGO

FULLERTON, CA
NPI1720403553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine Sports Medicine
(Licence: CA  2251P0200X)
Enumeration Date2014-03-03
Last Update Date2014-03-03
Business Address
DIANNE LONGO
1319 EVERGREEN AVE APT N2
FULLERTON, CA 92835-2063
Phone number: 714-697-8359
Mailing Address
DIANNE LONGO
1319 EVERGREEN AVE APT N2
FULLERTON, CA 92835-2063
Phone number: 714-697-8359
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